Member resources

HAP Empowered and MIHealthLink logoWe want to make sure you have the information you need at your fingertips. Below are important resources that will help you understand and use your benefits.

Online access to your membership

We make it easy for you to access your health plan information with an online HAP account.

Once you register you just have to log in to:

  • Print your ID card or download it to your phone
  • Look up a prescription drug on our list of covered drugs
  • Send our Customer Service team a secure message
  • Search our list of doctors and hospitals
  • Check on your claims.


HAP OnTheGo

You can use the HAP OnTheGo mobile app to simply:

  • Find a doctor, urgent care or hospital
  • View your member ID card
  • Find HAP contact information

HAP OnTheGo is free and in the Apple and Google Play app stores.

Benefit information and forms

  • Summary of Benefits
    Our Summary of Benefits booklet lists key features of our plan. It is a good place to start understanding benefits that are included benefits. But, it does not list every service we cover or every limitation or exclusion.

    To get a complete list of the benefits we offer under this plan, see the Member Handbook below. We can also provide these materials in large print, Braille and other formats.

    But, the best way to find out if you’re eligible to join this plan is to call us. You can call Customer Service (888) 654-0706 (TTY: 711). We're available seven days a week from 8 a.m. to 8 p.m.
  • Member Handbook

    The Member Handbook gives details of your benefits and services, including prescription drug coverage. It also explains how you can get the health care you need.

    View the 2019 Member Handbook. You’ll find detailed information about your benefits that includes:

    • A list of your covered benefits and prescription drugs, as well as doctor and pharmacy networks
    • Premiums
    • Out-of-pocket costs – copays, deductible, coinsurance and patient pay amount
    • List of covered drugs
    • Doctors and pharmacies in your network
    • Limitations and restrictions


    It’s important for you to remember:

    • You may have to pay for some services.
    • There are certain rules that you have to follow to have HAP Empowered MI Health Link pay for your services.
    • Certain coverage and networks may change during the benefit year or on January 1 of each year. You will receive notice of these changes.

    If you have questions about the information in the handbook, please call us at (888) 654-0706 (TTY: 711). You can reach us seven days a week from 8 a.m. to 8 p.m. If needed, we can give you the handbook in large print, Braille and other formats.

  • Annual Notice of Changes

    The Annual Notice of Changes, known as an ANOC, gives you the details about how your Medicare medical and prescription drug coverage has changed from last year. See the 2019 Annual Notice of Changes.

    If you need more information about these changes, you can get help from the following resources:

    • Call 1-800-Medicare or (800) 633-4227. For TTY services, call (877) 486-2048. You can reach someone 24/7.
    • Contact the U.S. Social Security Office at (800) 772-1213 (TTY: 711). Help is available Monday-Friday from 7 a.m. to 7 p.m.

    If you have questions about your HAP Empowered MI Health Link plan, call us. You can reach our Customer Service team at (888) 654-0706 (TTY: 711). We’re available seven days a week from 8 a.m. to 8 p.m.

  • 2019 out-of-pocket costs
     
    Costs  2019
    Plan premium  $0
    Yearly Part B deductible amount  $0
    Maximum out-of-pocket limit for Medicare-covered services  $0
    Copays

    No copays if you get care from a provider in your plan network.

    See the benefits chart in Chapter 4 of the Member Handbook.

    Coinsurance

    None

    See the benefits chart in Chapter 4 of the Member Handbook.

    Patient pay amount

    If you live in a nursing home you may have a patient pay amount.

    See the benefits chart in Chapter 4 of the Member Handbook to learn more.

  • Care coordination

    Once you join HAP Empowered MI Health Link, we assign you a care coordinator to help you use your Medicare and Medicaid services. They can answer questions about:

    • Your health care benefits
    • Behavioral health services
    • Transportation
    • Long-term care
    • Other supports and services

    The focus is on your specific needs and choices. We’ll include the important people in your life – family, friends and legal advisers – in your care.

    If you want to change your care coordinator, call us at (888) 654-0706 (TTY: 711). You can reach us seven days a week from 8 a.m. to 8 p.m.

    Or write to us at:
    HAP Empowered MI Health Link
    P.O. Box 2578
    Detroit, MI 48202

  • Language assistance | Nondiscrimination Notice
  • Rights and responsibilities | Safe and quality care

    Rights and responsibilities 


    Safe and quality care 

    We want to make sure you get and stay healthy. By focusing on quality and safety, we can help you avoid prescription drug errors and getting sick or hurt.

    We constantly check to see what’s working well and where we can improve. Learn more about this work. You can also read our annual quality report:

    For copies of this report, you can contact our Quality Management department at (248) 663-3889.

  • Prior authorization

    At times, specialists may suggest services we don't feel are best for a patient. That's why we want members to check with us so we can help with their care. This is called prior authorization. If you need this approval, your doctor will get it.

    Example:

    When Mary visits the ear, nose and throat doctor for the first time, she pays an office copay. The ENT suggests a sinus surgery for her. Before the surgery, the ENT office must get prior approval from Mary to make sure the service is covered and that it's necessary.

    Detailed lists of related services:


    Mental health services

    HAP Empowered MI Health Link members get behavioral health services through the local Prepaid Inpatient Health Plan (PIHP) provider network. Learn more from your Member Handbook.

  • Grievances, appeals, determinations and exceptions

    Ombudsman

    The MI Health Link Ombudsman program helps people enrolled in MI Health Link. They work as an advocate on your behalf. They can answer questions if you have a problem or complaint and can help you understand what to do. They are not connected with our plan or with any insurance company or health plan. Their services are free. Please call (888) 746-6456 (TTY: 711). Or you may email help@mhlo.org.

    You can send your complaint to Medicare. You may also call 1-800-MEDICARE or (800) 633-4227. Representatives are available 24/7. The call is free. For TTY service, call (877) 486-2048. 

  • Fraud, waste and abuse

    Health care fraud is falsifying health care transactions for financial gain or other benefit. It can be done by a doctor, a business or a member of a health plan. There are many types:

    • Billing for services that did not happen
    • Services done just to get reimbursed
    • Filing claims for services or drugs not received
    • Forging or changing bills, receipts or other forms
    • Doctor shopping to get more than one prescription

    If found guilty of this crime, it could result in prison or major fines. It also increases total health care costs, which means you may have to pay more for benefits.

    What are we doing to stop fraud?

    HAP Midwest Health Plan uses special software to monitor claims data and other information to show which claims need to be reviewed. has a highly skilled team that seeks out health care fraud. These actions are taken to protect our members.

    Report it

    Please report fraud right away. We look into every report of health care fraud, waste and abuse.

    You can send an anonymous report to HAP Midwest, the Michigan Department of Health and Human Services or the Office of the Inspector General.

    HAP Midwest Health Plan

    You can call us at (866) 622-8980. Or our Compliance Hotline: 24 hours a day at (877) 746-2501.

    To report it in writing, include your contract number, date of service and other information that may be useful. Send to:

    P.O. Box 2578
    Detroit, MI 48202
    Attention: Office of Compliance

    Michigan Department of Health and Human Services
    P.O. Box 30062
    Lansing, MI 48909

    1-855-MI-Fraud (1-855-643-7283)

    michigan.gov/fraud

    Please keep this overview of this important information.

HAP Empowered MI Health Link is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to Enrollees.

H9712_2019 WebEMP Version 2
Last Updated 6/10/19

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Customer Service

  • HAP Empowered MI Health Link

    Call (888) 654-0706 (TTY: 711)

    Seven days a week,
    from 8 a.m. to 8 p.m.